Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10215006 | Progress in Pediatric Cardiology | 2018 | 5 Pages |
Abstract
There are no established neuroprotective guidelines during pediatric extracorporeal membrane oxygenation (ECMO) after cardiac arrest. We report a case of unknown duration, out-of-hospital cardiac arrest after drowning in a toddler. The patient experienced severe cardiopulmonary failure shortly after return of spontaneous circulation and required veno-arterial ECMO. Clinical outcome was excellent. This report outlines a neuroprotective strategy using high-dose erythropoietin, dexmedetomidine, and therapeutic hypothermia that was implemented during ECMO. Risk factors related to pediatric drowning with cardiac arrest are also discussed.
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Authors
Jennifer S. Nelson, Neha Longani, Laufey Y. Sigurdardottir, Timothy M. Maul, Peter D. Wearden, Constantinos Chrysostomou,